2nd postoperative day discharge after full sternotomy off pump coronary artery bypass grafting surgery - A report of 2 consecutive rapid discharges

• Published in: International journal of surgery case reports 2023-08, Vol.109, p.108601, Article 108601
• Main Author: Ammannaya, Ganesh Kumar K.
• Format: Article
• Language: English
• Subjects: Case Report; ERACS; ERAS; OPCAB
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.108601

Very early discharge after CABG (coronary artery bypass grafting), defined as discharge in ≤4 days after surgery, is considered safe and comes with a host of benefits including lower costs and earlier return to work. We present two consecutive cases of OPCAB (off pump coronary artery bypass grafting) performed through conventional full sternotomy that were discharged on the second post operative day (at 36 and 42 h after surgery), the former being the earliest described in medical literature till date. From our early experience, we list out all the factors that facilitated such ultra fast-track recovery and present a checklist to enable rapid discharge after CABG. Enhanced recovery after cardiac surgery (ERACS) is feasible and holds great promise in optimizing patient care and outcomes. •Very early discharge after coronary artery bypass grafting (CABG), i.e. under 4 days after surgery, is proven safe and lowers costs.•We present two consecutive cases of OPCAB (off pump coronary artery bypass grafting) performed through conventional full sternotomy that were discharged on the second post operative day (at 36 and 42 hours after surgery), the former being the earliest described in medical literature till date.•We list out all the factors that facilitated such ultra fast-track recovery and also present a checklist to enable rapid discharge after CABG.